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Ankylosing Spondylitis

How inflammatory arthritis can affect the spine and sacroiliac joints, and why coordinated care matters.

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Overview

Understanding ankylosing spondylitis

Ankylosing spondylitis, or AS, is an inflammatory form of arthritis that commonly affects the spine and sacroiliac joints. It is different from ordinary degenerative arthritis. Ongoing medical treatment and attention to movement are central to care.

Common symptoms

  • Back or hip pain with stiffness, often more noticeable after rest.
  • Reduced spinal flexibility or difficulty maintaining posture.
  • Symptoms in other joints or outside the spine in some people.

What can cause it?

AS involves inflammation related to the immune system. Genetics can contribute, but no single risk factor establishes the diagnosis. Over time, inflammation may lead to structural changes and reduced movement in parts of the spine.

How it is evaluated

Evaluation considers the symptom pattern, family history, examination, and imaging of the spine or sacroiliac joints. Blood tests can contribute, but there is no single definitive test. Rheumatology assessment helps distinguish AS from mechanical back pain.

Treatment considerations

These are general educational options. A consultation helps determine what is appropriate for your diagnosis and health.

Medical management with rheumatology

Treatment aims to control inflammation and preserve function. A rheumatologist can explain medication options and monitor their effects as part of ongoing care.

Movement, posture, and daily function

An individualized exercise or physical therapy plan can support flexibility, strength, and posture. Activity advice should reflect existing spinal changes and your overall health.

Explore nonsurgical care →

Spine assessment for structural concerns

Surgery is uncommon for AS itself. Significant deformity or a separate structural complication may warrant a spine evaluation alongside medical treatment.

Understand deformity surgery evaluation →
Explore spine injuries and deformity →

Questions for your visit

  • Should a rheumatologist coordinate my ongoing treatment?
  • Are my current symptoms related to active inflammation, structural changes, or another condition?

Sources and further reading

This guide is educational and does not replace an individual medical evaluation.

Bring your questions. Understand your options.

Talk with a member of our team about your symptoms and next steps.

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